NPIMap

Organization Active NPI

O Guterzon DDS LTD

  • General Practice Dentistry
  • Chicago, IL
National Provider Identifier
1942516067
Registry record updated Aug 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019026015 Issued in IL
Legal business name
O GUTERZON DDS LTD
Practice address
2806 W Devon Ave
Chicago, IL 60659-1502
Phone
(773) 973-1100
NPI assigned
Aug 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Oksana Guterzon, DDS
Title
Owner
Phone
(773) 973-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 019026015 IL Primary

Addresses

Primary practice location

2806 W Devon Ave
Chicago, IL 60659-1502

Mailing address

2806 W Devon Ave
Chicago, IL 60659-1502

National Provider Directory

National Provider Directory
Tax ID family
O Guterzon DDS LTD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2806 W Devon Ave
Chicago, IL 60659
Phone (773) 973-1100

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1282780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282780800000",
    "number": "1942516067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2806 W DEVON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606591502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2806 W DEVON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606591502",
            "telephone_number": "773-973-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "O GUTERZON DDS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-26",
        "last_updated": "2010-08-26",
        "status": "A",
        "authorized_official_last_name": "GUTERZON",
        "authorized_official_first_name": "OKSANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-973-1100",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019026015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.